Individual ProviderTracey HarrisSocial WorkerBehavioral Health & Social Service ProvidersPractice Address427 S 21st St, Laramie, WY 82070-4323(307) 459-3670(307) 426-4797PECOS EnrollmentBased on the most recent information from CMS, provider Tracey Harris is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1639843345Provider TypeIndividualFull NameHarris, TraceyCredentialMSW, LCSWGenderFemaleSole ProprietorYesEnumeration Date8/5/2021Last Updated1/30/2024Contact InformationPractice LocationPractice Address427 S 21st St, Laramie, WY 82070-4323Phone(307) 459-3670FaxUnlisted FaxMailing LocationMailing Address4025 Rawlins St, Cheyenne, WY 82001-1900Phone(307) 426-4797FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer